Le Journal médical libanais. The Lebanese medical journal
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We report a case of reflex sympathetic dystrophy in a 10-year-old girl who presented with a two months history of severe pain and paresthesia in her right lower extremity. The patient made a very good recovery after two months of treatment with steroids and physical therapy.
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The authors describe their own experience about using a siliconed percutaneous central venous catheter in the newborn, experience performed in their neonatal intensive care unit in Beirut. The technique consists in introducing this sort of device centrally by using a peripheral vein. The authors performed a prospective study on thirty-two newborns: Their results seem to indicate, in accordance to the literature review, that this technique offers many advantages such as sparing the newborn veins, prolonged hyperalimentation and treatment, and less incidents than the other perfusion techniques (peripheral and central). Few inconveniences are encountered: limitation of the amount of daily perfusion, impossibility of transfusing blood or derivatives across the silicone catheter.
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Acute epiglottitis is a dangerous disease which is not often seen in adults. Early diagnosis and medical attention is required. ⋯ Ampicillin plus Chloramphenicol or only Cefotaxime is administered, pending a report on sensitivities. 3 cases of acute epiglottitis in adults are presented. The management is discussed in view to avoid this disease's possible fatal outcome.
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We report the case of a ten year old female student who complained of chronic back pain and morning stiffness of several months duration. She failed to respond to non-steroidal anti-inflammatory drugs (NSAIDS). Further investigations which included bone and CT scan revealed the presence of an osteoid osteoma at the first sacral vertebra (S1 vertebra). The patient made an excellent recovery after surgical excision.
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A sample of 436 persons of both sexes, all ages and being from all over the Lebanese territory, was analysed as part of a survey on the prevention of cardiovascular diseases. Our results gave an estimation of the prevalence of diabetes mellitus in Lebanon being at 7-8% and that of impaired glucose tolerance being at 10-11%. 50% of diabetics were previously unknown; this percentage rose up to 89% in people aged less than 40 years. The male preponderance was not statistically significant. The prevalence of diabetes mellitus increased steadily with age.